Wilde, Susan Marie

Wilde, Susan Marie is an sole proprietor health care provider with primary practice located at 1035 San Pablo Ave Suite 8, Albany CA 94706-2275. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilde, Susan Marie can be contacted via phone (510) 978-0221.

Contact Information

Primary practice address
1035 San Pablo Ave Suite 8 Albany CA 94706-2275
Phone: (510) 978-0221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY19673 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY19673 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19673 California

Profile Details

NPI number 1710131008
LBN Legal business name Wilde, Susan Marie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2008
Last updated Nov 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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